GREGORY R GAMBLA (NPI# 1801832167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801832167 |
| Entity Type | Individual |
| Full Name | GREGORY R GAMBLA |
| Credential | DO |
| Practice Address |
745 Fletcher Dr Ste 202 Elgin IL 60123-4747 |
| Mailing Address |
39w357 Baker Dr Geneva IL 60134-6114 |
| Practice Telephone | 8478881300 |
| Practice Fax Number | 8478881341 |
| Mailing Telephone | 6302089848 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2015-02-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
036098608 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036098608 | 05 |
| Street Address |
745 FLETCHER DR STE 202 |
| City | ELGIN |
| State | IL |
| Zip Code | 60123-4747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194795336 | Timothy J Roth | Urology | 745 Fletcher Dr, Elgin, IL 60123-4747 | 2006-01-23 |
| 1457712929 | Heather M. Creed | Nurse Practitioner | 745 Fletcher Dr, Suite 202, Elgin, IL 60123-4747 | 2016-03-11 |
| 1568846343 | Steven M Carlson | Nurse Practitioner | 745 Fletcher Dr, Suite 301, Elgin, IL 60123-4747 | 2015-07-12 |
| 1548581341 | Aaron E Ovadia | Urology | 745 Fletcher Dr, Suite 301, Elgin, IL 60123-4747 | 2010-06-15 |
| 1093964116 | Sonia Shailesh Godambe | Internal Medicine | 745 Fletcher Dr, Elgin, IL 60123-4747 | 2008-09-12 |
| 1508048406 | Mari A. Anderson | Registered Nurse | 745 Fletcher Dr, Suite 302, Elgin, IL 60123-4747 | 2007-12-03 |
| 1679755573 | Danel F. Eads | Specialist/Technologist, Other | 745 Fletcher Dr, Suite 302, Elgin, IL 60123-4747 | 2007-12-03 |
| 1598976821 | Jennifer Anne Cerutti | Urology | 745 Fletcher Dr, Suite 301, Elgin, IL 60123-4747 | 2007-05-25 |
| 1972667624 | Chirag A Dholakia | Surgery | 745 Fletcher Dr, Suite 302, Elgin, IL 60123-4750 | 2006-12-20 |
| 1265596720 | Elgin Internal Medical Associates, S.c. | Internal Medicine | 745 Fletcher Dr, Suite 101, Elgin, IL 60123-4747 | 2006-12-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629625736 | Edna Lopez | Social Worker | 1140 N. Mclean Blvd #1, Elgin, IL 60123 | 2019-08-22 |
| 1003472259 | Katelyn Lee O'connell | Counselor | 695 S. Sate Street, Elgin, IL 60123 | 2019-05-14 |
| 1598235152 | Katie Elizabeth Dwyer | Counselor | 695 S. State Street, Elgin, IL 60123 | 2018-11-27 |
| 1174002778 | James M Accetta | Counselor | 52 Surry Drive, Elgin, IL 60123 | 2018-08-14 |
| 1770086175 | Griswold Home Care | Adult Companion | 707 A Davis Road, Suite 203, Elgin, IL 60123 | 2018-03-12 |
| 1003315706 | Danielle Bryant | Nurse Practitioner | 745 Fletcher Dr Ste 101, Elgin, IL 60123 | 2018-02-08 |
| 1912421470 | Deborah Foshager | Counselor | 680 Shenandoah Trail, Elgin, IL 60123 | 2017-07-26 |
| 1760903470 | Miguel Camargo | Specialist/Technologist | 12 N Aldine St, Elgin, IL 60123 | 2017-07-03 |
| 1134658594 | David Sommer | Counselor | 1460 Umbdenstock Rd, Elgin, IL 60123 | 2017-06-08 |
| 1649719618 | Faheem Unisa Syed | Clinical Nurse Specialist | 1990 Larkin Ave., Elgin, IL 60123 | 2017-02-23 |
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| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154433266 | Tim Zahur Hossain | Internal Medicine | 745 Fletcher Dr Ste 202, Elgin, IL 60123 | 2006-08-31 |
| 1093964116 | Sonia Shailesh Godambe | Internal Medicine | 745 Fletcher Dr, Elgin, IL 60123-4747 | 2008-09-12 |
| 1083836027 | Rajesh S Pillai | Internal Medicine | 745 Fletcher Drive, Elgin, IL 60123-4749 | 2007-05-02 |
| 1265512164 | William Levis | Internal Medicine | 745 Fletcher Dr, Elgin, IL 60123-4747 | 2006-10-16 |
| 1932291101 | Elgin Gastroenterology Sc | Internal Medicine | 745 Fletcher Dr, Ste 202, Elgin, IL 60123-4747 | 2006-09-28 |
| 1093827107 | Lawrence R Kosinski | Internal Medicine | 745 Fletcher Dr, Ste 202, Elgin, IL 60123 | 2006-08-31 |
| 1982716098 | Sunil T Joseph | Internal Medicine | 745 Fletcher Dr, Ste 202, Elgin, IL 60123 | 2006-08-31 |
| 1437261450 | Joseph Losurdo | Internal Medicine | 745 Fletcher Dr, Ste 202, Elgin, IL 60123 | 2006-08-31 |
| 1407968514 | James G Stinneford | Internal Medicine | 745 Fletcher Dr, Ste 202, Elgin, IL 60123 | 2006-08-31 |
| 1184630915 | Specialists In Gastroenterology | Internal Medicine | 1710 N Randall Rd, Suite 280, Elgin, IL 60123-9400 | 2006-08-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.